Eliot Nissenbaum (NPI# 1326082454, PAC ID# 1759275365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1326082454 |
| PAC ID by PECOS | 1759275365 |
| Professional Enrollment ID | I20050310000000 |
| Full Name | Eliot Nissenbaum |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Address |
6996 County Rd Suite 326 Palmyra MO 63461-3119 |
| Phone Number | 5737693753 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1991 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991616138 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261310 | SCOTLAND COUNTY HOSPITAL |
| 140015 | BLESSING HOSPITAL |
| 140089 | MC DONOUGH DISTRICT HOSPITAL |
| 141305 | MEMORIAL HOSPITAL |
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1414 Main St, Keokuk, IA 52632-3926 | 3195240123 | BLESSING CORPORATE SERVICES |
| 525 E Grant St, Macomb, IL 61455-3313 | 3098334101 | BLESSING CORPORATE SERVICES |
| 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 6604652828 | BLESSING CORPORATE SERVICES |
| 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 | 5737693753 | BLESSING CORPORATE SERVICES |
| 1005 Broadway St, Quincy, IL 62301-2834 | BLESSING CORPORATE SERVICES | |
| 927 Broadway St, Quincy, IL 62301-2719 | 2172246423 | BLESSING CORPORATE SERVICES |
| 1102 N County Rd, Suite 700, Warsaw, IL 62379-3011 | BLESSING CORPORATE SERVICES |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyla R Kasparie | Nurse Practitioner | Blessing Corporate Services | 910 Broadway St, Suite D, Quincy, IL 62301-2729 |
| Clark Olavi Andelin | Obstetrics/gynecology | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Elise Scoggin | Dermatology | Blessing Corporate Services | 1132 Broadway St, Suite 200, Quincy, IL 62301-2818 |
| Katherine Anne Phillips | Nurse Practitioner | Blessing Corporate Services | 1102 N County Rd, Suite 700, Warsaw, IL 62379-3011 |
| Diane Nutter | Nurse Practitioner | Blessing Corporate Services | 326 N 24th St, Quincy, IL 62301-3140 |
| Erik Nothold | Chiropractic | Blessing Corporate Services | 332 S 36th St, Suite 3, Quincy, IL 62301-5808 |
| Brittany Egley | Nurse Practitioner | Blessing Corporate Services | 103 E Commercial St, Kahoka, MO 63445-1701 |
| Mary Jo Crawford | Family Medicine | Blessing Corporate Services | 102 E Marion St, Paris, MO 65275-1041 |
| Richard L Ohalloran | Urology | Blessing Corporate Services | 1414 Main St, Keokuk, IA 52632-3926 |
| Street Address |
6996 COUNTY RD SUITE 326 |
| City | PALMYRA |
| State | MO |
| Zip | 63461-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyas Safar | Nephrology | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Sara Baig | Cardiovascular Disease (cardiology) | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Traci Lynette Kline | Nurse Practitioner | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| David W Lockhart | Family Medicine | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Amy North | Family Medicine | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Samang O Kim | Family Medicine | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Matthew P Cormier | Family Medicine | Blessing Corporate Services | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Mary J Logsdon | Nurse Practitioner | Blessing Corporate Services Inc | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| David F Ouellette | Family Practice | Blessing Corporate Services Inc | 6996 County Rd, Suite 326, Palmyra, MO 63461-3119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley A Turner | Physical Therapy | K.b. Therapy Inc | 1219 S Main St Box, Suite 208, Palmyra, MO 63461-0208 |
| Kimberly Ann Bunten | Physical Therapy | K.b. Therapy Inc | 1219 S Main St Box, Suite 208, Palmyra, MO 63461-0208 |
| Randy E Steinbrueck | Chiropractic | 322 W Ross St, Palmyra, MO 63461-1420 | |
| Laura J Akerson | Chiropractic | 224 W Church St, Palmyra, MO 63461-1504 | |
| John Stiffey | Chiropractic | 219 S Main St, Palmyra, MO 63461-1650 | |
| Jeffrey M Wells | Family Medicine | Quincy Physicians and Surgeons Clinic, Sc | 1410 W Line St, Quincy Medical Group, Palmyra, MO 63461-1831 |
| Stephen E Halpin | Internal Medicine | Hannibal Clinic Operations, LLC | 1811 S Main St, Palmyra, MO 63461-1961 |
| Amber N Gottman | Nurse Practitioner | Hannibal Clinic Operations, LLC | 1811 S Main St, Palmyra, MO 63461-1961 |
| Gina Marie Pontius | Family Medicine | Hannibal Clinic Operations, LLC | 1811 S Main St, Palmyra, MO 63461-1961 |
| Margaret Colyar | Nurse Practitioner | Hannibal Clinic Operations LLC | 1811 S Main St, Palmyra, MO 63461-1961 |
| Find all physicians in zip 63461 | |||
| City | PALMYRA |
| Zip Code | 63461 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PALMYRA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Eliot Nissenbaum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.